Rishi Sunak has welcomed emergency talks aimed at alleviating the crisis in the NHS as “highly valuable”, but doubts were raised as to whether it can be tackled this winter.
The Prime Minister hosted health leaders including England’s chief medical officer Professor Sir Chris Whitty and NHS England chief executive Amanda Pritchard in Downing Street.
Labour said the talks, joined by Health Secretary Steve Barclay and Treasury minister John Glen, were a “talking shop” and patients “deserve more”.
Mr Sunak was warned that the rare weekend meeting is unlikely to ease the pressure on frontline services, which was being blamed on “years of inaction”.
Leaving the “NHS Recovery Forum”, consultant physician James Dunbar told reporters he was “confident that action will be taken” but not optimistic the crisis would be dealt with before spring.
“These are difficult problems to fix though, so I think it’s unlikely we’ll have it sorted by the end of this winter,” he said.
Today I hosted the NHS Recovery Forum in Downing Street with clinical leaders, health experts and ministers.
We are determined to ease pressure on the NHS, ensure better care for patients and deliver our promise to cut waiting lists ⤵️ pic.twitter.com/0EeiukXRrl
— Rishi Sunak (@RishiSunak) January 7, 2023
Royal College of Emergency Medicine president Adrian Boyle said the crisis is “fixable” as he welcomed emergency care being “recognised as a priority”.
A Government spokeswoman said Mr Sunak and his health ministers “found today’s discussions highly valuable for sharing ideas and best practices that could be spread nationwide to improve care for patients throughout the country”.
“Next steps will be set out in due course,” the official added.
Senior doctors say the NHS is on a knife edge, with many A&E units struggling to keep up with demand and trusts and ambulance services declaring critical incidents.
A wave of strikes and high levels of flu and coronavirus are adding to huge pressures in the health service.
Discharge rates fell to a new low in England last week, with only a third of patients ready to be released from hospital actually leaving.
The day’s focus was on four crucial issues: social care and delayed discharge, urgent and emergency care, elective care and primary care.
NHS Confederation chief executive Matthew Taylor said there are “no silver bullets” to solve the crisis after “decades of underinvestment”.
“This crisis has been a decade or more in the making and we are now paying the high price for years of inaction and managed decline,” he said ahead of the meeting which he was not invited to.
“Patients are experiencing delays that we haven’t seen for years.”
The Prime Minister this week made reducing NHS waiting lists one of his key pledges over the next two years.
Shadow health secretary Wes Streeting said: “After 13 years of mismanaging the NHS, this is the equivalent of the arsonists convening a forum with the fire brigade to put out the inferno they started.
“Patients deserve more than a talking shop.
“Clinical leaders and health experts have been sounding the alarm for months about the crisis the NHS is facing, so why has it taken so long for Rishi Sunak and Steve Barclay to decide to listen to them?”
On Monday, Mr Barclay will meet union leaders to discuss NHS pay for the next financial year in talks that are unlikely to avert planned strikes.
He has suggested striking health workers could get significant pay boosts from April if they accept “efficiency” reforms.
The Health Secretary wrote in the Sunday Telegraph: “I remain ready to engage with unions on what the Government can do to support the workforce, and I look forward to talking with the trade unions to see how we make any settlement done through the independent pay body more affordable, where there are productivity and efficiency opportunities.”
Royal College of Nursing general secretary Pat Cullen told the Prime Minister to “grasp the nettle and negotiate with nurses” to prevent industrial action.
She told BBC Radio 4’s Today programme: “We’ll of course go to the meeting and make the case for nursing in all forums, but it’s sadly not what’s going to prevent strike action that’s planned for 10 days’ time.
“I have put out an olive branch to get us to the table, I’m asking the Prime Minister now to meet the RCN halfway. The ball is firmly in the Prime Minister’s court.”
Mr Barclay also said he will announce further steps to “improve the flow through our hospitals” on Monday with around 13,000 NHS beds blocked by delays in discharging payments.
The Sunday Times reported that an emergency winter pressure package will include a hospital discharge fund for thousands of NHS patients to be moved to care home beds.
Thousands of beds could be block-bought by the Government under the strategy, which is hoped to have an effect within a month.